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Feng Shui House Care Home Inadequate

Inspection Summary

Overall summary & rating


Updated 22 May 2021

About the service

Feng Shui House Care Home is a residential care home providing personal care to 15 people aged 65 and over at the time of the inspection. The service is registered to support up to 20 people. The home is in the seaside resort of Blackpool overlooking the south promenade. There are two communal lounges and all bedrooms have en-suite facilities.

People’s experience of using this service and what we found

The provider did not have effective systems in place to ensure all risks were identified and medicines were managed safely. We found failings regarding the management of medicines and risks related to people’s health and the environment.

We found no evidence people had been harmed but they were at risk of avoidable harm due to the ineffective governance arrangements in place. Records were not always accurate and completed in line with people’s assessed needs. Audit systems failed to highlight the concerns we found around, medicines management, care planning, risk management, infection prevention and fire safety.

People were not always supported to have maximum choice and control of their lives. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The provider failed to document when decisions were made in people’s best interests. Mental capacity assessments had not been documented for some key decisions when people lacked capacity.

Employment processes were not always followed. We have made a recommendation about recruitment. Care plans did not always reflect people’s needs. We have made a recommendation about care planning. One person did not receive timely health care support. We have made a recommendation about supporting people to live healthier lives.

People told us they felt safe living at Feng Shui House. Staff were able to explain how to raise a concern to safeguard people. People and staff spoke positively about the food and the choice of food they had. People and staff felt the provider was approachable and supportive. One person told us, “[Provider], she’s very approachable for a chat.” During the inspection the provider worked to address concerns raised and minimise the risks identified during our visits.

Rating at last inspection

The last rating for this service was good (published 01 November 2019).

Why we inspected

We received concerns in relation to risk management, infection prevention, consent to care and governance. As a result, we carried out a focused inspection to review the key questions of safe, effective and well-led only. Some of these issues are subject to further review and enquiry by CQC and additional information on any further action may be reported after this process.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from good to inadequate. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe, effective and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

The provider has completed multiple actions since we visited, and this has reduced the risks for people living at Feng Shui House Care Home.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Feng Shui House Care Home on our website at


We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and propo

Inspection areas



Updated 22 May 2021

The service was not safe.

Details are in our safe findings below.


Requires improvement

Updated 22 May 2021

The service was not always effective.

Details are in our effective findings below.



Updated 22 May 2021



Updated 22 May 2021



Updated 22 May 2021

The service was not always well-led.

Details are in our well-Led findings below.